Building Health Management Information Systems in Egypt - PHRplus

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Administrator and a Network Support Technician. The terms of the Site Management Contract and its careful management are critical to success. The contract site management market in Egypt is immature. The technical assistance element should discuss this approach with the MOHP. There are other areas where private sector working relationships are necessary to support the information system. These can be grouped into two areas: hardware and software development and maintenance, and basic skills training. The technical assistance element can help evaluate vendors, develop contract terms, evaluate offers, and monitor the work of contractors. efforts: The following major steps should be taken to capitalize on existing information system > converge hierarchical systems; > commercialize facility management systems; > establish recognized official standard coding systems Converge hierarchical systems. The HIS provides the only reasonable foundation for merging hierarchical systems. Technical assistance should help the MOHP begin to integrate these systems at all levels, technical and organizational. At the same time, facility management systems should be coordinated so they provide data easily to an integrated HIS, eliminating unnecessary forms. Commercialize facility management systems. USAID program assistance for health sector reform calls for increasing the number of MOHP hospitals under cost recovery to 100. This creates a significant market for hospital information management systems in Egypt. The private sector should be encouraged to provide solutions for key hospital management subsystems. Establish recognized official standard coding systems. Even if commercialized, hospital management systems must produce comparable information for MOHP monitoring and policy analysis. This requires development and authoritative control of national coding standards for key data elements and indicators. The MOHP has the leverage necessary to require commercial providers to meet such standards. Development should proceed in well-defined stages against a general design and general work plan. A separate work plan should be written for each stage, detailing tasks and resources for that stage. This will allow schedules and resources to be estimated with greater precision. xiv Executive Summary
1.0 Introduction The health sector reform initiative of the Ministry of Health and Population (MOHP) may be the most significant effort by any Middle Eastern country to overhaul its public health system. The supporting program assistance departs from USAID's previous portfolio of vertical projects, taking a holistic approach and tying release of funds to the MOHP to measurable benchmarks. The Health Policy Support Program (HPSP) Draft Matrix of the Projected Benchmarks for Tranche One keys reform objectives to expected end-of-program results and specific measurable benchmarks. Major objectives of the National Health Sector Reform Policy are as follows: 1. Reduce the role of the MOHP in providing and financing curative care. 2. Strengthen the role of the MOHP in the provision of and increase share of financing Preventive Medicine (PM) and Primary Health Care (PHC). 3. Reform MOHP personnel policy. 4. Develop the MOHP role in regulation and accreditation; and its capacity for national health strategic planning and policy analysis. 5. Ensure the viability of the HIO. 6. Expand social health insurance coverage coupled with adequate administrative and financing mechanisms. Measuring of expected end-of-program status requires or implies the following information system components: 1. a way to routinely measure aggregate MOHP expenditures on curative services, on preventive medicine, and on primary health care; 2. a way to routinely measure aggregate MOHP expenditures on personnel; 3. a way to routinely measure aggregate MOHP expenditures on pharmaceuticals; including vaccines and contraceptives; 4. a way to determine current and appropriate staffing for each health facility; 5. use of appropriate hospital MIS systems for use by an increasing number of cost-recovery hospitals. A broader goal is implied: as the MOHP changes its role in curative care from provider to regulator, and from direct funding to indirect funding, accurate information is vital for monitoring providers, adjusting policies, and informing users. At the same time, increased focus on efficiently targeting MOHP preventive and primary care services also demands more timely and accurate information. The last component included in the matrix is aimed at these general long-term needs: 6. a comprehensive national health information system (HIS) supporting an economic and policy analysis unit in the MOHP, operational in all regional offices, hospitals, and polyclinics. The approach taken to health sector reform is likely to emphasize decentralization. The financing system is already decentralized; funds from the Ministry of Finance go directly to governorate accounts. Many significant decisions are made at the governorate level. There are indications the MOHP will increase the responsibility of the governorates, making them more autonomous managerially and more responsible for performance. The information system must 1.0 Introduction 1
Page 1 and 2: Technical Report No. 10 Building He
Page 3 and 4: Building Health Management Informat
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Page 9: Acronyms ADT Arabsoft ASMO BTS CAPM
Page 13 and 14: Executive Summary USAID program ass
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Page 19 and 20: 2.0 Challenges The challenges are i
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Page 30 and 31: easonable choice. In 1993, HIO bene
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Page 36 and 37: 3.6 Family Planning Project The Fam
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Table 5 Major MIS Domains, Componen
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Annex A: Persons Contacted Ministry
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Cairo University, Abu Reesh Pediatr
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National Health Accounts for Egypt.
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60 Building Health Management MIS i
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Annex E: BTS Module Data Flow Diagr
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Annex D: Organizational Diagrams 75
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Annex D: Organizational Diagrams 77
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Building Health Management Information Systems in Egypt - PHRplus

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